Dr Leo Russell Shockley Jr, DDS - Medicare Dentist in Floodwood, MN

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Dr Leo Russell Shockley Jr, DDS is a medicare enrolled "Dentist - General Practice" provider in Floodwood, Minnesota. His current practice location is 601 Highway 73, Floodwood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 476-2969.

Dr Leo Russell Shockley Jr is licensed to practice in Minnesota (license number 9231) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942290226.

Contact Information

Dr Leo Russell Shockley Jr, DDS
601 Highway 73,
Floodwood, MN 55736-8450
(218) 476-2969
(218) 476-1599

Map and Direction




Healthcare Provider's Profile

Full NameDr Leo Russell Shockley Jr
GenderMale
SpecialityDentist - General Practice
Location601 Highway 73, Floodwood, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942290226
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 05/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8527349356
  • Enrollment ID: I20170110000377

Medical Identifiers

Medical identifiers for Dr Leo Russell Shockley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942290226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 9231 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leo Russell Shockley Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leo Russell Shockley Jr, DDS
8991 W Shipley Rd,
Alborn, MN 55702-8277

Ph: (210) 393-5115		Dr Leo Russell Shockley Jr, DDS
601 Highway 73,
Floodwood, MN 55736-8450

Ph: (218) 476-2969

Reviews and Comments


Dentist in Floodwood, MN

Dr. James Richard Swanstrom, DDS.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 601 Highway 73, Scenic Rivers Dental, Floodwood, MN 55736
Phone: 218-476-2969    Fax: 218-476-1599
Dr. Joseph Adam Gregorich, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 601 Highway 73, Box 46, Floodwood, MN 55736
Phone: 218-476-2969    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.